Provider Demographics
NPI:1649969130
Name:NEW HEART LABS DIAGNOSTICS AND SCREENING
Entity type:Organization
Organization Name:NEW HEART LABS DIAGNOSTICS AND SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:856-279-3145
Mailing Address - Street 1:202 UNION ST
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-5100
Mailing Address - Country:US
Mailing Address - Phone:856-279-3145
Mailing Address - Fax:856-854-4300
Practice Address - Street 1:833 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1923
Practice Address - Country:US
Practice Address - Phone:856-279-3145
Practice Address - Fax:856-854-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty